CH Core (R4)
7.0.0-ballot - ballot Switzerland flag

CH Core (R4), published by HL7 Switzerland. This guide is not an authorized publication; it is the continuous build for version 7.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7ch/ch-core/ and changes regularly. See the Directory of published versions

Resource Profile: CH Core Claim

Official URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-claim Version: 7.0.0-ballot
Active as of 2026-10-21 Computable Name: CHCoreClaim

Copyright/Legal: CC0-1.0

Base definition of the claim resource for the representation of a list of professional services (e.g. doctor's visit) and products (e.g. medication) that have been or are to be provided for a patient. The profile defines general basic elements that can occur in Swiss use cases. In Switzerland, there are external standards for administrative processes between service providers and payers (e.g. Forum Datenaustausch, SHIP, eCH), therefore see the corresponding mapping.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Claim 0..* Claim Claim, Pre-determination or Pre-authorization
Claim.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Claim.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Claim.Slices for extension.extension:biller 0..1 Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Organization) Biller in the case of a professional service or product provided.
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-biller
Claim.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Claim.identifier 0..* Identifier Business Identifier for claim
Claim.status This element is a modifier element. This element is included in summaries. 1..1 code active | cancelled | draft | entered-in-error
Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.
Claim.type This element is included in summaries. 1..1 CodeableConcept Category or discipline
Binding: BFS Medizinische Statistik - 20 1.3.V01 - Behandlungsart / Type de prise en charge / Genere di trattamento (extensible)
Claim.use This element is included in summaries. 1..1 code claim | preauthorization | predetermination
Binding: Use (required): The purpose of the Claim: predetermination, preauthorization, claim.
Claim.patient This element is included in summaries. 1..1 Reference(CH Core Patient) The recipient of the products and services
Claim.created This element is included in summaries. 1..1 dateTime Resource creation date
Claim.provider This element is included in summaries. 1..1 Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Organization) Party responsible for the claim
Claim.priority This element is included in summaries. 1..1 CodeableConcept Desired processing ugency
Binding: ProcessPriorityCodes (example): The timeliness with which processing is required: stat, normal, deferred.
Claim.Slices for supportingInfo 0..* BackboneElement Supporting information
Slice: Unordered, Open by value:category

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Claim.Slices for supportingInfo.supportingInfo:All Slices Content/Rules for all slices
Claim.Slices for supportingInfo.supportingInfo:All Slices.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:All Slices.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:All Slices.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Claim.Slices for supportingInfo.supportingInfo:treatmentReason 0..1 BackboneElement Supporting information
Claim.Slices for supportingInfo.supportingInfo:treatmentReason.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:treatmentReason.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:treatmentReason.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
      "code" : "patientreasonforvisit"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:treatmentReason.code 1..1 CodeableConcept Treatment reason
Binding: Treatment Reason (preferred)
Claim.Slices for supportingInfo.supportingInfo:remark 0..1 BackboneElement Supporting information
Claim.Slices for supportingInfo.supportingInfo:remark.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:remark.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:remark.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
      "code" : "info"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:remark.Slices for value[x] 1..1 string Data to be provided
Slice: Unordered, Closed by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Claim.Slices for supportingInfo.supportingInfo:remark.Slices for value[x] Content/Rules for all slices
Claim.Slices for supportingInfo.supportingInfo:remark.Slices for value[x].value[x]:valueString 1..1 string Remark
Claim.insurance This element is included in summaries. 1..* BackboneElement Patient insurance information
Claim.insurance.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.insurance.sequence This element is included in summaries. 1..1 positiveInt Insurance instance identifier
Claim.insurance.focal This element is included in summaries. 1..1 boolean Coverage to be used for adjudication
Claim.insurance.coverage This element is included in summaries. 1..1 Reference(CH Core Coverage) Insurance information

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Claim.status Base required Financial Resource Status Codes 📍4.0.1 FHIR Std.
Claim.type Base extensible BFS Medizinische Statistik - 20 1.3.V01 - Behandlungsart / Type de prise en charge / Genere di trattamento 📦3.4.0 CH Term v3.4
Claim.use Base required Use 📍4.0.1 FHIR Std.
Claim.priority Base example Process Priority Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:treatmentReason.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:treatmentReason.​code Base preferred Treatment Reason 📦3.4.0 CH Term v3.4
Claim.supportingInfo:remark.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Claim If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Claim If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Claim If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Claim If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Claim A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from Claim

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Claim 0..* Claim Claim, Pre-determination or Pre-authorization
Claim.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Claim.Slices for extension.extension:biller 0..1 Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Organization) Biller in the case of a professional service or product provided.
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-biller
Claim.identifier 0..* Identifier Business Identifier for claim
Claim.type 1..1 CodeableConcept Category or discipline
Binding: BFS Medizinische Statistik - 20 1.3.V01 - Behandlungsart / Type de prise en charge / Genere di trattamento (extensible)
Claim.created 1..1 dateTime Resource creation date
Claim.provider 1..1 Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Organization) Party responsible for the claim
Claim.Slices for supportingInfo 0..* BackboneElement Supporting information
Slice: Unordered, Open by value:category
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Claim.Slices for supportingInfo.supportingInfo:treatmentReason 0..1 BackboneElement Supporting information
Claim.Slices for supportingInfo.supportingInfo:treatmentReason.category 1..1 CodeableConcept Classification of the supplied information
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
      "code" : "patientreasonforvisit"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:treatmentReason.code 1..1 CodeableConcept Treatment reason
Binding: Treatment Reason (preferred)
Claim.Slices for supportingInfo.supportingInfo:remark 0..1 BackboneElement Supporting information
Claim.Slices for supportingInfo.supportingInfo:remark.category 1..1 CodeableConcept Classification of the supplied information
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
      "code" : "info"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:remark.Slices for value[x] 1..1 string Data to be provided
Slice: Unordered, Open by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Claim.Slices for supportingInfo.supportingInfo:remark.Slices for value[x] Content/Rules for all slices
Claim.Slices for supportingInfo.supportingInfo:remark.Slices for value[x].value[x]:valueString 1..1 string Remark
Claim.diagnosis
Claim.diagnosis.diagnosis[x] 1..1 CodeableConcept, Reference(Condition) Nature of illness or problem
Claim.insurance
Claim.insurance.coverage 1..1 Reference(CH Core Coverage) Insurance information
Claim.item
Claim.item.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Claim.item.Slices for extension.extension:responsible 0..1 Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Organization) Responsible for the service or product provided
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-responsible
Claim.item.sequence 1..1 positiveInt Item instance identifier
Claim.item.category
Claim.item.category.Slices for coding 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Claim.item.category.Slices for coding.coding:tariff 0..1 Coding Tariff
Claim.item.category.Slices for coding.coding:tariff.system 1..1 uri Identity of the terminology system
Required Pattern: http://forum-datenaustausch.ch/tariff (extensions allowed)
Claim.item.category.Slices for coding.coding:tariff.code 0..1 code Symbol in syntax defined by the system
Claim.item.productOrService 1..1 CodeableConcept Tariff number
Claim.item.productOrService.Slices for coding 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Claim.item.productOrService.Slices for coding.coding:All Slices Content/Rules for all slices
Claim.item.productOrService.Slices for coding.coding:All Slices.code 0..1 code Symbol in syntax defined by the system
Claim.item.productOrService.Slices for coding.coding:All Slices.display 0..1 string Representation defined by the system
Claim.item.productOrService.Slices for coding.coding:GTIN 0..1 Coding Code defined by a terminology system
Claim.item.productOrService.Slices for coding.coding:GTIN.system 1..1 uri Identity of the terminology system
Required Pattern: urn:oid:2.51.1.1 (extensions allowed)
Claim.item.productOrService.Slices for coding.coding:TARMED 0..1 Coding Code defined by a terminology system
Claim.item.productOrService.Slices for coding.coding:TARMED.system 1..1 uri Identity of the terminology system
Required Pattern: urn:oid:2.16.756.5.30.1.129.1.4 (extensions allowed)
Claim.item.serviced[x] 0..1 date, Period Date or dates of service or product delivery
Claim.item.quantity
Claim.item.quantity.value 0..1 decimal Numerical value (with implicit precision)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Claim.type Base extensible BFS Medizinische Statistik - 20 1.3.V01 - Behandlungsart / Type de prise en charge / Genere di trattamento 📦3.4.0 CH Term v3.4
Claim.supportingInfo:treatmentReason.​code Base preferred Treatment Reason 📦3.4.0 CH Term v3.4
NameFlagsCard.TypeDescription & Constraints    Filter: doco
Claim 0..* Claim Claim, Pre-determination or Pre-authorization
Claim.id This element is included in summaries. 0..1 id Logical id of this artifact
Claim.meta This element is included in summaries. 0..1 Meta Metadata about the resource
Claim.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Claim.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
Claim.text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Claim.contained 0..* Resource Contained, inline Resources
Claim.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Claim.Slices for extension.extension:biller 0..1 Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Organization) Biller in the case of a professional service or product provided.
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-biller
Claim.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Claim.identifier 0..* Identifier Business Identifier for claim
Claim.status This element is a modifier element. This element is included in summaries. 1..1 code active | cancelled | draft | entered-in-error
Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.
Claim.type This element is included in summaries. 1..1 CodeableConcept Category or discipline
Binding: BFS Medizinische Statistik - 20 1.3.V01 - Behandlungsart / Type de prise en charge / Genere di trattamento (extensible)
Claim.subType 0..1 CodeableConcept More granular claim type
Binding: ExampleClaimSubTypeCodes (example): A more granular claim typecode.
Claim.use This element is included in summaries. 1..1 code claim | preauthorization | predetermination
Binding: Use (required): The purpose of the Claim: predetermination, preauthorization, claim.
Claim.patient This element is included in summaries. 1..1 Reference(CH Core Patient) The recipient of the products and services
Claim.billablePeriod This element is included in summaries. 0..1 Period Relevant time frame for the claim
Claim.created This element is included in summaries. 1..1 dateTime Resource creation date
Claim.enterer 0..1 Reference(Practitioner | PractitionerRole) Author of the claim
Claim.insurer This element is included in summaries. 0..1 Reference(Organization) Target
Claim.provider This element is included in summaries. 1..1 Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Organization) Party responsible for the claim
Claim.priority This element is included in summaries. 1..1 CodeableConcept Desired processing ugency
Binding: ProcessPriorityCodes (example): The timeliness with which processing is required: stat, normal, deferred.
Claim.fundsReserve 0..1 CodeableConcept For whom to reserve funds
Binding: Funds Reservation Codes (example): For whom funds are to be reserved: (Patient, Provider, None).
Claim.related 0..* BackboneElement Prior or corollary claims
Claim.related.id 0..1 string Unique id for inter-element referencing
Claim.related.extension 0..* Extension Additional content defined by implementations
Claim.related.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.related.claim 0..1 Reference(Claim) Reference to the related claim
Claim.related.relationship 0..1 CodeableConcept How the reference claim is related
Binding: ExampleRelatedClaimRelationshipCodes (example): Relationship of this claim to a related Claim.
Claim.related.reference 0..1 Identifier File or case reference
Claim.prescription 0..1 Reference(DeviceRequest | MedicationRequest | VisionPrescription) Prescription authorizing services and products
Claim.originalPrescription 0..1 Reference(DeviceRequest | MedicationRequest | VisionPrescription) Original prescription if superseded by fulfiller
Claim.payee 0..1 BackboneElement Recipient of benefits payable
Claim.payee.id 0..1 string Unique id for inter-element referencing
Claim.payee.extension 0..* Extension Additional content defined by implementations
Claim.payee.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.payee.type 1..1 CodeableConcept Category of recipient
Binding: Claim Payee Type Codes (example): A code for the party to be reimbursed.
Claim.payee.party 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson) Recipient reference
Claim.referral 0..1 Reference(ServiceRequest) Treatment referral
Claim.facility 0..1 Reference(Location) Servicing facility
Claim.careTeam 0..* BackboneElement Members of the care team
Claim.careTeam.id 0..1 string Unique id for inter-element referencing
Claim.careTeam.extension 0..* Extension Additional content defined by implementations
Claim.careTeam.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.careTeam.sequence 1..1 positiveInt Order of care team
Claim.careTeam.provider 1..1 Reference(Practitioner | PractitionerRole | Organization) Practitioner or organization
Claim.careTeam.responsible 0..1 boolean Indicator of the lead practitioner
Claim.careTeam.role 0..1 CodeableConcept Function within the team
Binding: ClaimCareTeamRoleCodes (example): The role codes for the care team members.
Claim.careTeam.qualification 0..1 CodeableConcept Practitioner credential or specialization
Binding: ExampleProviderQualificationCodes (example): Provider professional qualifications.
Claim.Slices for supportingInfo 0..* BackboneElement Supporting information
Slice: Unordered, Open by value:category

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Claim.Slices for supportingInfo.supportingInfo:All Slices Content/Rules for all slices
Claim.Slices for supportingInfo.supportingInfo:All Slices.id 0..1 string Unique id for inter-element referencing
Claim.Slices for supportingInfo.supportingInfo:All Slices.extension 0..* Extension Additional content defined by implementations
Claim.Slices for supportingInfo.supportingInfo:All Slices.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:All Slices.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:All Slices.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Claim.Slices for supportingInfo.supportingInfo:All Slices.code 0..1 CodeableConcept Type of information
Binding: ExceptionCodes (example): The valuset used for additional information codes.
Claim.Slices for supportingInfo.supportingInfo:All Slices.timing[x] 0..1 When it occurred
Claim.Slices for supportingInfo.supportingInfo:All Slices.timing[x].timingDate date
Claim.Slices for supportingInfo.supportingInfo:All Slices.timing[x].timingPeriod Period
Claim.Slices for supportingInfo.supportingInfo:All Slices.value[x] 0..1 Data to be provided
Claim.Slices for supportingInfo.supportingInfo:All Slices.value[x].valueBoolean boolean
Claim.Slices for supportingInfo.supportingInfo:All Slices.value[x].valueString string
Claim.Slices for supportingInfo.supportingInfo:All Slices.value[x].valueQuantity Quantity
Claim.Slices for supportingInfo.supportingInfo:All Slices.value[x].valueAttachment Attachment
Claim.Slices for supportingInfo.supportingInfo:All Slices.value[x].valueReference Reference(Resource)
Claim.Slices for supportingInfo.supportingInfo:All Slices.reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Claim.Slices for supportingInfo.supportingInfo:treatmentReason 0..1 BackboneElement Supporting information
Claim.Slices for supportingInfo.supportingInfo:treatmentReason.id 0..1 string Unique id for inter-element referencing
Claim.Slices for supportingInfo.supportingInfo:treatmentReason.extension 0..* Extension Additional content defined by implementations
Claim.Slices for supportingInfo.supportingInfo:treatmentReason.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:treatmentReason.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:treatmentReason.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
      "code" : "patientreasonforvisit"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:treatmentReason.code 1..1 CodeableConcept Treatment reason
Binding: Treatment Reason (preferred)
Claim.Slices for supportingInfo.supportingInfo:treatmentReason.timing[x] 0..1 When it occurred
Claim.Slices for supportingInfo.supportingInfo:treatmentReason.timing[x].timingDate date
Claim.Slices for supportingInfo.supportingInfo:treatmentReason.timing[x].timingPeriod Period
Claim.Slices for supportingInfo.supportingInfo:treatmentReason.value[x] 0..1 Data to be provided
Claim.Slices for supportingInfo.supportingInfo:treatmentReason.value[x].valueBoolean boolean
Claim.Slices for supportingInfo.supportingInfo:treatmentReason.value[x].valueString string
Claim.Slices for supportingInfo.supportingInfo:treatmentReason.value[x].valueQuantity Quantity
Claim.Slices for supportingInfo.supportingInfo:treatmentReason.value[x].valueAttachment Attachment
Claim.Slices for supportingInfo.supportingInfo:treatmentReason.value[x].valueReference Reference(Resource)
Claim.Slices for supportingInfo.supportingInfo:treatmentReason.reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Claim.Slices for supportingInfo.supportingInfo:remark 0..1 BackboneElement Supporting information
Claim.Slices for supportingInfo.supportingInfo:remark.id 0..1 string Unique id for inter-element referencing
Claim.Slices for supportingInfo.supportingInfo:remark.extension 0..* Extension Additional content defined by implementations
Claim.Slices for supportingInfo.supportingInfo:remark.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:remark.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:remark.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
      "code" : "info"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:remark.code 0..1 CodeableConcept Type of information
Binding: ExceptionCodes (example): The valuset used for additional information codes.
Claim.Slices for supportingInfo.supportingInfo:remark.timing[x] 0..1 When it occurred
Claim.Slices for supportingInfo.supportingInfo:remark.timing[x].timingDate date
Claim.Slices for supportingInfo.supportingInfo:remark.timing[x].timingPeriod Period
Claim.Slices for supportingInfo.supportingInfo:remark.Slices for value[x] 1..1 string Data to be provided
Slice: Unordered, Closed by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Claim.Slices for supportingInfo.supportingInfo:remark.Slices for value[x] Content/Rules for all slices
Claim.Slices for supportingInfo.supportingInfo:remark.Slices for value[x].value[x]:valueString 1..1 string Remark
Claim.Slices for supportingInfo.supportingInfo:remark.reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Claim.diagnosis 0..* BackboneElement Pertinent diagnosis information
Claim.diagnosis.id 0..1 string Unique id for inter-element referencing
Claim.diagnosis.extension 0..* Extension Additional content defined by implementations
Claim.diagnosis.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.diagnosis.sequence 1..1 positiveInt Diagnosis instance identifier
Claim.diagnosis.diagnosis[x] 1..1 Nature of illness or problem
Binding: ICD-10Codes (example): Example ICD10 Diagnostic codes.
Claim.diagnosis.diagnosis[x].diagnosisCodeableConcept CodeableConcept
Claim.diagnosis.diagnosis[x].diagnosisReference Reference(Condition)
Claim.diagnosis.type 0..* CodeableConcept Timing or nature of the diagnosis
Binding: ExampleDiagnosisTypeCodes (example): The type of the diagnosis: admitting, principal, discharge.
Claim.diagnosis.onAdmission 0..1 CodeableConcept Present on admission
Binding: ExampleDiagnosisOnAdmissionCodes (example): Present on admission.
Claim.diagnosis.packageCode 0..1 CodeableConcept Package billing code
Binding: ExampleDiagnosisRelatedGroupCodes (example): The DRG codes associated with the diagnosis.
Claim.procedure 0..* BackboneElement Clinical procedures performed
Claim.procedure.id 0..1 string Unique id for inter-element referencing
Claim.procedure.extension 0..* Extension Additional content defined by implementations
Claim.procedure.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.procedure.sequence 1..1 positiveInt Procedure instance identifier
Claim.procedure.type 0..* CodeableConcept Category of Procedure
Binding: ExampleProcedureTypeCodes (example): Example procedure type codes.
Claim.procedure.date 0..1 dateTime When the procedure was performed
Claim.procedure.procedure[x] 1..1 Specific clinical procedure
Binding: ICD-10ProcedureCodes (example): Example ICD10 Procedure codes.
Claim.procedure.procedure[x].procedureCodeableConcept CodeableConcept
Claim.procedure.procedure[x].procedureReference Reference(Procedure)
Claim.procedure.udi 0..* Reference(Device) Unique device identifier
Claim.insurance This element is included in summaries. 1..* BackboneElement Patient insurance information
Claim.insurance.id 0..1 string Unique id for inter-element referencing
Claim.insurance.extension 0..* Extension Additional content defined by implementations
Claim.insurance.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.insurance.sequence This element is included in summaries. 1..1 positiveInt Insurance instance identifier
Claim.insurance.focal This element is included in summaries. 1..1 boolean Coverage to be used for adjudication
Claim.insurance.identifier 0..1 Identifier Pre-assigned Claim number
Claim.insurance.coverage This element is included in summaries. 1..1 Reference(CH Core Coverage) Insurance information
Claim.insurance.businessArrangement 0..1 string Additional provider contract number
Claim.insurance.preAuthRef 0..* string Prior authorization reference number
Claim.insurance.claimResponse 0..1 Reference(ClaimResponse) Adjudication results
Claim.accident 0..1 BackboneElement Details of the event
Claim.accident.id 0..1 string Unique id for inter-element referencing
Claim.accident.extension 0..* Extension Additional content defined by implementations
Claim.accident.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.accident.date 1..1 date When the incident occurred
Claim.accident.type 0..1 CodeableConcept The nature of the accident
Binding: ActIncidentCode (extensible): Type of accident: work place, auto, etc.
Claim.accident.location[x] 0..1 Where the event occurred
Claim.accident.location[x].locationAddress Address
Claim.accident.location[x].locationReference Reference(Location)
Claim.item 0..* BackboneElement Product or service provided
Claim.item.id 0..1 string Unique id for inter-element referencing
Claim.item.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Claim.item.Slices for extension.extension:responsible 0..1 Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Organization) Responsible for the service or product provided
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-responsible
Claim.item.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.item.sequence 1..1 positiveInt Item instance identifier
Claim.item.careTeamSequence 0..* positiveInt Applicable careTeam members
Claim.item.diagnosisSequence 0..* positiveInt Applicable diagnoses
Claim.item.procedureSequence 0..* positiveInt Applicable procedures
Claim.item.informationSequence 0..* positiveInt Applicable exception and supporting information
Claim.item.revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
Claim.item.category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
Claim.item.category.id 0..1 string Unique id for inter-element referencing
Claim.item.category.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Claim.item.category.Slices for coding This element is included in summaries. 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Claim.item.category.Slices for coding.coding:tariff This element is included in summaries. 0..1 Coding Tariff
Claim.item.category.Slices for coding.coding:tariff.id 0..1 string Unique id for inter-element referencing
Claim.item.category.Slices for coding.coding:tariff.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Claim.item.category.Slices for coding.coding:tariff.system This element is included in summaries. 1..1 uri Identity of the terminology system
Required Pattern: http://forum-datenaustausch.ch/tariff (extensions allowed)
Claim.item.category.Slices for coding.coding:tariff.version This element is included in summaries. 0..1 string Version of the system - if relevant
Claim.item.category.Slices for coding.coding:tariff.code This element is included in summaries. 0..1 code Symbol in syntax defined by the system
Claim.item.category.Slices for coding.coding:tariff.display This element is included in summaries. 0..1 string Representation defined by the system
Claim.item.category.Slices for coding.coding:tariff.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
Claim.item.category.text This element is included in summaries. 0..1 string Plain text representation of the concept
Claim.item.productOrService 1..1 CodeableConcept Tariff number
Binding: USCLSCodes (example): Allowable service and product codes.
Claim.item.productOrService.id 0..1 string Unique id for inter-element referencing
Claim.item.productOrService.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Claim.item.productOrService.Slices for coding This element is included in summaries. 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Claim.item.productOrService.Slices for coding.coding:All Slices Content/Rules for all slices
Claim.item.productOrService.Slices for coding.coding:All Slices.id 0..1 string Unique id for inter-element referencing
Claim.item.productOrService.Slices for coding.coding:All Slices.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Claim.item.productOrService.Slices for coding.coding:All Slices.system This element is included in summaries. 0..1 uri Identity of the terminology system
Claim.item.productOrService.Slices for coding.coding:All Slices.version This element is included in summaries. 0..1 string Version of the system - if relevant
Claim.item.productOrService.Slices for coding.coding:All Slices.code This element is included in summaries. 0..1 code Symbol in syntax defined by the system
Claim.item.productOrService.Slices for coding.coding:All Slices.display This element is included in summaries. 0..1 string Representation defined by the system
Claim.item.productOrService.Slices for coding.coding:All Slices.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
Claim.item.productOrService.Slices for coding.coding:GTIN This element is included in summaries. 0..1 Coding Code defined by a terminology system
Claim.item.productOrService.Slices for coding.coding:GTIN.id 0..1 string Unique id for inter-element referencing
Claim.item.productOrService.Slices for coding.coding:GTIN.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Claim.item.productOrService.Slices for coding.coding:GTIN.system This element is included in summaries. 1..1 uri Identity of the terminology system
Required Pattern: urn:oid:2.51.1.1 (extensions allowed)
Claim.item.productOrService.Slices for coding.coding:GTIN.version This element is included in summaries. 0..1 string Version of the system - if relevant
Claim.item.productOrService.Slices for coding.coding:GTIN.code This element is included in summaries. 0..1 code Symbol in syntax defined by the system
Claim.item.productOrService.Slices for coding.coding:GTIN.display This element is included in summaries. 0..1 string Representation defined by the system
Claim.item.productOrService.Slices for coding.coding:GTIN.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
Claim.item.productOrService.Slices for coding.coding:TARMED This element is included in summaries. 0..1 Coding Code defined by a terminology system
Claim.item.productOrService.Slices for coding.coding:TARMED.id 0..1 string Unique id for inter-element referencing
Claim.item.productOrService.Slices for coding.coding:TARMED.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Claim.item.productOrService.Slices for coding.coding:TARMED.system This element is included in summaries. 1..1 uri Identity of the terminology system
Required Pattern: urn:oid:2.16.756.5.30.1.129.1.4 (extensions allowed)
Claim.item.productOrService.Slices for coding.coding:TARMED.version This element is included in summaries. 0..1 string Version of the system - if relevant
Claim.item.productOrService.Slices for coding.coding:TARMED.code This element is included in summaries. 0..1 code Symbol in syntax defined by the system
Claim.item.productOrService.Slices for coding.coding:TARMED.display This element is included in summaries. 0..1 string Representation defined by the system
Claim.item.productOrService.Slices for coding.coding:TARMED.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
Claim.item.productOrService.text This element is included in summaries. 0..1 string Plain text representation of the concept
Claim.item.modifier 0..* CodeableConcept Product or service billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
Claim.item.programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
Claim.item.serviced[x] 0..1 Date or dates of service or product delivery
Claim.item.serviced[x].servicedDate date
Claim.item.serviced[x].servicedPeriod Period
Claim.item.location[x] 0..1 Place of service or where product was supplied
Binding: ExampleServicePlaceCodes (example): Place of service: pharmacy, school, prison, etc.
Claim.item.location[x].locationCodeableConcept CodeableConcept
Claim.item.location[x].locationAddress Address
Claim.item.location[x].locationReference Reference(Location)
Claim.item.quantity C 0..1 SimpleQuantity(4.0.1) Count of products or services
Constraints: sqty-1
Claim.item.quantity.id 0..1 string Unique id for inter-element referencing
Claim.item.quantity.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Claim.item.quantity.value This element is included in summaries. 0..1 decimal Numerical value (with implicit precision)
Claim.item.quantity.unit This element is included in summaries. 0..1 string Unit representation
Claim.item.quantity.system This element is included in summaries. C 0..1 uri System that defines coded unit form
Claim.item.quantity.code This element is included in summaries. 0..1 code Coded form of the unit
Claim.item.unitPrice 0..1 Money Fee, charge or cost per item
Claim.item.factor 0..1 decimal Price scaling factor
Claim.item.net 0..1 Money Total item cost
Claim.item.udi 0..* Reference(Device) Unique device identifier
Claim.item.bodySite 0..1 CodeableConcept Anatomical location
Binding: OralSiteCodes (example): The code for the teeth, quadrant, sextant and arch.
Claim.item.subSite 0..* CodeableConcept Anatomical sub-location
Binding: SurfaceCodes (example): The code for the tooth surface and surface combinations.
Claim.item.encounter 0..* Reference(Encounter) Encounters related to this billed item
Claim.item.detail 0..* BackboneElement Product or service provided
Claim.item.detail.id 0..1 string Unique id for inter-element referencing
Claim.item.detail.extension 0..* Extension Additional content defined by implementations
Claim.item.detail.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.item.detail.sequence 1..1 positiveInt Item instance identifier
Claim.item.detail.revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
Claim.item.detail.category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
Claim.item.detail.productOrService 1..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
Claim.item.detail.modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
Claim.item.detail.programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
Claim.item.detail.quantity C 0..1 SimpleQuantity(4.0.1) Count of products or services
Constraints: sqty-1
Claim.item.detail.unitPrice 0..1 Money Fee, charge or cost per item
Claim.item.detail.factor 0..1 decimal Price scaling factor
Claim.item.detail.net 0..1 Money Total item cost
Claim.item.detail.udi 0..* Reference(Device) Unique device identifier
Claim.item.detail.subDetail 0..* BackboneElement Product or service provided
Claim.item.detail.subDetail.id 0..1 string Unique id for inter-element referencing
Claim.item.detail.subDetail.extension 0..* Extension Additional content defined by implementations
Claim.item.detail.subDetail.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.item.detail.subDetail.sequence 1..1 positiveInt Item instance identifier
Claim.item.detail.subDetail.revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
Claim.item.detail.subDetail.category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
Claim.item.detail.subDetail.productOrService 1..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
Claim.item.detail.subDetail.modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
Claim.item.detail.subDetail.programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
Claim.item.detail.subDetail.quantity C 0..1 SimpleQuantity(4.0.1) Count of products or services
Constraints: sqty-1
Claim.item.detail.subDetail.unitPrice 0..1 Money Fee, charge or cost per item
Claim.item.detail.subDetail.factor 0..1 decimal Price scaling factor
Claim.item.detail.subDetail.net 0..1 Money Total item cost
Claim.item.detail.subDetail.udi 0..* Reference(Device) Unique device identifier
Claim.total 0..1 Money Total claim cost

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Claim.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Claim.status Base required Financial Resource Status Codes 📍4.0.1 FHIR Std.
Claim.type Base extensible BFS Medizinische Statistik - 20 1.3.V01 - Behandlungsart / Type de prise en charge / Genere di trattamento 📦3.4.0 CH Term v3.4
Claim.subType Base example Example Claim SubType Codes 📍4.0.1 FHIR Std.
Claim.use Base required Use 📍4.0.1 FHIR Std.
Claim.priority Base example Process Priority Codes 📍4.0.1 FHIR Std.
Claim.fundsReserve Base example FundsReserve 📍4.0.1 FHIR Std.
Claim.related.relationship Base example Example Related Claim Relationship Codes 📍4.0.1 FHIR Std.
Claim.payee.type Base example PayeeType 📍4.0.1 FHIR Std.
Claim.careTeam.role Base example Claim Care Team Role Codes 📍4.0.1 FHIR Std.
Claim.careTeam.qualification Base example Example Provider Qualification Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo.​code Base example Exception Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo.​reason Base example Missing Tooth Reason Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:treatmentReason.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:treatmentReason.​code Base preferred Treatment Reason 📦3.4.0 CH Term v3.4
Claim.supportingInfo:treatmentReason.​reason Base example Missing Tooth Reason Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:remark.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:remark.​code Base example Exception Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:remark.​reason Base example Missing Tooth Reason Codes 📍4.0.1 FHIR Std.
Claim.diagnosis.diagnosis[x] Base example ICD-10 Codes 📍4.0.1 FHIR Std.
Claim.diagnosis.type Base example Example Diagnosis Type Codes 📍4.0.1 FHIR Std.
Claim.diagnosis.onAdmission Base example Example Diagnosis on Admission Codes 📍4.0.1 FHIR Std.
Claim.diagnosis.packageCode Base example Example Diagnosis Related Group Codes 📍4.0.1 FHIR Std.
Claim.procedure.type Base example Example Procedure Type Codes 📍4.0.1 FHIR Std.
Claim.procedure.procedure[x] Base example ICD-10 Procedure Codes 📍4.0.1 FHIR Std.
Claim.accident.type Base extensible ActIncidentCode 📦3.0.0 THO v7.4
Claim.item.revenue Base example Example Revenue Center Codes 📍4.0.1 FHIR Std.
Claim.item.category Base example Benefit Category Codes 📍4.0.1 FHIR Std.
Claim.item.productOrService Base example USCLS Codes 📍4.0.1 FHIR Std.
Claim.item.modifier Base example Modifier type Codes 📍4.0.1 FHIR Std.
Claim.item.programCode Base example Example Program Reason Codes 📍4.0.1 FHIR Std.
Claim.item.location[x] Base example Example Service Place Codes 📍4.0.1 FHIR Std.
Claim.item.bodySite Base example Oral Site Codes 📍4.0.1 FHIR Std.
Claim.item.subSite Base example Surface Codes 📍4.0.1 FHIR Std.
Claim.item.detail.revenue Base example Example Revenue Center Codes 📍4.0.1 FHIR Std.
Claim.item.detail.category Base example Benefit Category Codes 📍4.0.1 FHIR Std.
Claim.item.detail.productOrService Base example USCLS Codes 📍4.0.1 FHIR Std.
Claim.item.detail.modifier Base example Modifier type Codes 📍4.0.1 FHIR Std.
Claim.item.detail.programCode Base example Example Program Reason Codes 📍4.0.1 FHIR Std.
Claim.item.detail.subDetail.​revenue Base example Example Revenue Center Codes 📍4.0.1 FHIR Std.
Claim.item.detail.subDetail.​category Base example Benefit Category Codes 📍4.0.1 FHIR Std.
Claim.item.detail.subDetail.​productOrService Base example USCLS Codes 📍4.0.1 FHIR Std.
Claim.item.detail.subDetail.​modifier Base example Modifier type Codes 📍4.0.1 FHIR Std.
Claim.item.detail.subDetail.​programCode Base example Example Program Reason Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Claim If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Claim If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Claim If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Claim If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Claim A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
sqty-1 error Claim.item.quantity, Claim.item.detail.quantity, Claim.item.detail.subDetail.quantity The comparator is not used on a SimpleQuantity comparator.empty()

This structure is derived from Claim

Summary

Mandatory: 0 element(6 nested mandatory elements)

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Claim.supportingInfo
  • The element 1 is sliced based on the value of Claim.supportingInfo.value[x]
  • The element 1 is sliced based on the value of Claim.item.category.coding
  • The element 1 is sliced based on the value of Claim.item.productOrService.coding

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Claim 0..* Claim Claim, Pre-determination or Pre-authorization
Claim.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Claim.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Claim.Slices for extension.extension:biller 0..1 Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Organization) Biller in the case of a professional service or product provided.
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-biller
Claim.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Claim.identifier 0..* Identifier Business Identifier for claim
Claim.status This element is a modifier element. This element is included in summaries. 1..1 code active | cancelled | draft | entered-in-error
Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.
Claim.type This element is included in summaries. 1..1 CodeableConcept Category or discipline
Binding: BFS Medizinische Statistik - 20 1.3.V01 - Behandlungsart / Type de prise en charge / Genere di trattamento (extensible)
Claim.use This element is included in summaries. 1..1 code claim | preauthorization | predetermination
Binding: Use (required): The purpose of the Claim: predetermination, preauthorization, claim.
Claim.patient This element is included in summaries. 1..1 Reference(CH Core Patient) The recipient of the products and services
Claim.created This element is included in summaries. 1..1 dateTime Resource creation date
Claim.provider This element is included in summaries. 1..1 Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Organization) Party responsible for the claim
Claim.priority This element is included in summaries. 1..1 CodeableConcept Desired processing ugency
Binding: ProcessPriorityCodes (example): The timeliness with which processing is required: stat, normal, deferred.
Claim.Slices for supportingInfo 0..* BackboneElement Supporting information
Slice: Unordered, Open by value:category

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Claim.Slices for supportingInfo.supportingInfo:All Slices Content/Rules for all slices
Claim.Slices for supportingInfo.supportingInfo:All Slices.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:All Slices.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:All Slices.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Claim.Slices for supportingInfo.supportingInfo:treatmentReason 0..1 BackboneElement Supporting information
Claim.Slices for supportingInfo.supportingInfo:treatmentReason.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:treatmentReason.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:treatmentReason.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
      "code" : "patientreasonforvisit"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:treatmentReason.code 1..1 CodeableConcept Treatment reason
Binding: Treatment Reason (preferred)
Claim.Slices for supportingInfo.supportingInfo:remark 0..1 BackboneElement Supporting information
Claim.Slices for supportingInfo.supportingInfo:remark.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:remark.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:remark.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
      "code" : "info"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:remark.Slices for value[x] 1..1 string Data to be provided
Slice: Unordered, Closed by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Claim.Slices for supportingInfo.supportingInfo:remark.Slices for value[x] Content/Rules for all slices
Claim.Slices for supportingInfo.supportingInfo:remark.Slices for value[x].value[x]:valueString 1..1 string Remark
Claim.insurance This element is included in summaries. 1..* BackboneElement Patient insurance information
Claim.insurance.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.insurance.sequence This element is included in summaries. 1..1 positiveInt Insurance instance identifier
Claim.insurance.focal This element is included in summaries. 1..1 boolean Coverage to be used for adjudication
Claim.insurance.coverage This element is included in summaries. 1..1 Reference(CH Core Coverage) Insurance information

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Claim.status Base required Financial Resource Status Codes 📍4.0.1 FHIR Std.
Claim.type Base extensible BFS Medizinische Statistik - 20 1.3.V01 - Behandlungsart / Type de prise en charge / Genere di trattamento 📦3.4.0 CH Term v3.4
Claim.use Base required Use 📍4.0.1 FHIR Std.
Claim.priority Base example Process Priority Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:treatmentReason.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:treatmentReason.​code Base preferred Treatment Reason 📦3.4.0 CH Term v3.4
Claim.supportingInfo:remark.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Claim If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Claim If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Claim If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Claim If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Claim A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

This structure is derived from Claim

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Claim 0..* Claim Claim, Pre-determination or Pre-authorization
Claim.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Claim.Slices for extension.extension:biller 0..1 Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Organization) Biller in the case of a professional service or product provided.
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-biller
Claim.identifier 0..* Identifier Business Identifier for claim
Claim.type 1..1 CodeableConcept Category or discipline
Binding: BFS Medizinische Statistik - 20 1.3.V01 - Behandlungsart / Type de prise en charge / Genere di trattamento (extensible)
Claim.patient 1..1 Reference(CH Core Patient) The recipient of the products and services
Claim.created 1..1 dateTime Resource creation date
Claim.provider 1..1 Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Organization) Party responsible for the claim
Claim.Slices for supportingInfo 0..* BackboneElement Supporting information
Slice: Unordered, Open by value:category
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Claim.Slices for supportingInfo.supportingInfo:treatmentReason 0..1 BackboneElement Supporting information
Claim.Slices for supportingInfo.supportingInfo:treatmentReason.category 1..1 CodeableConcept Classification of the supplied information
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
      "code" : "patientreasonforvisit"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:treatmentReason.code 1..1 CodeableConcept Treatment reason
Binding: Treatment Reason (preferred)
Claim.Slices for supportingInfo.supportingInfo:remark 0..1 BackboneElement Supporting information
Claim.Slices for supportingInfo.supportingInfo:remark.category 1..1 CodeableConcept Classification of the supplied information
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
      "code" : "info"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:remark.Slices for value[x] 1..1 string Data to be provided
Slice: Unordered, Open by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Claim.Slices for supportingInfo.supportingInfo:remark.Slices for value[x] Content/Rules for all slices
Claim.Slices for supportingInfo.supportingInfo:remark.Slices for value[x].value[x]:valueString 1..1 string Remark
Claim.diagnosis
Claim.diagnosis.diagnosis[x] 1..1 CodeableConcept, Reference(Condition) Nature of illness or problem
Claim.insurance
Claim.insurance.coverage 1..1 Reference(CH Core Coverage) Insurance information
Claim.item
Claim.item.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Claim.item.Slices for extension.extension:responsible 0..1 Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Organization) Responsible for the service or product provided
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-responsible
Claim.item.sequence 1..1 positiveInt Item instance identifier
Claim.item.category
Claim.item.category.Slices for coding 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Claim.item.category.Slices for coding.coding:tariff 0..1 Coding Tariff
Claim.item.category.Slices for coding.coding:tariff.system 1..1 uri Identity of the terminology system
Required Pattern: http://forum-datenaustausch.ch/tariff (extensions allowed)
Claim.item.category.Slices for coding.coding:tariff.code 0..1 code Symbol in syntax defined by the system
Claim.item.productOrService 1..1 CodeableConcept Tariff number
Claim.item.productOrService.Slices for coding 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Claim.item.productOrService.Slices for coding.coding:All Slices Content/Rules for all slices
Claim.item.productOrService.Slices for coding.coding:All Slices.code 0..1 code Symbol in syntax defined by the system
Claim.item.productOrService.Slices for coding.coding:All Slices.display 0..1 string Representation defined by the system
Claim.item.productOrService.Slices for coding.coding:GTIN 0..1 Coding Code defined by a terminology system
Claim.item.productOrService.Slices for coding.coding:GTIN.system 1..1 uri Identity of the terminology system
Required Pattern: urn:oid:2.51.1.1 (extensions allowed)
Claim.item.productOrService.Slices for coding.coding:TARMED 0..1 Coding Code defined by a terminology system
Claim.item.productOrService.Slices for coding.coding:TARMED.system 1..1 uri Identity of the terminology system
Required Pattern: urn:oid:2.16.756.5.30.1.129.1.4 (extensions allowed)
Claim.item.serviced[x] 0..1 date, Period Date or dates of service or product delivery
Claim.item.quantity
Claim.item.quantity.value 0..1 decimal Numerical value (with implicit precision)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Claim.type Base extensible BFS Medizinische Statistik - 20 1.3.V01 - Behandlungsart / Type de prise en charge / Genere di trattamento 📦3.4.0 CH Term v3.4
Claim.supportingInfo:treatmentReason.​code Base preferred Treatment Reason 📦3.4.0 CH Term v3.4

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Claim 0..* Claim Claim, Pre-determination or Pre-authorization
Claim.id This element is included in summaries. 0..1 id Logical id of this artifact
Claim.meta This element is included in summaries. 0..1 Meta Metadata about the resource
Claim.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Claim.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
Claim.text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Claim.contained 0..* Resource Contained, inline Resources
Claim.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Claim.Slices for extension.extension:biller 0..1 Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Organization) Biller in the case of a professional service or product provided.
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-biller
Claim.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Claim.identifier 0..* Identifier Business Identifier for claim
Claim.status This element is a modifier element. This element is included in summaries. 1..1 code active | cancelled | draft | entered-in-error
Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.
Claim.type This element is included in summaries. 1..1 CodeableConcept Category or discipline
Binding: BFS Medizinische Statistik - 20 1.3.V01 - Behandlungsart / Type de prise en charge / Genere di trattamento (extensible)
Claim.subType 0..1 CodeableConcept More granular claim type
Binding: ExampleClaimSubTypeCodes (example): A more granular claim typecode.
Claim.use This element is included in summaries. 1..1 code claim | preauthorization | predetermination
Binding: Use (required): The purpose of the Claim: predetermination, preauthorization, claim.
Claim.patient This element is included in summaries. 1..1 Reference(CH Core Patient) The recipient of the products and services
Claim.billablePeriod This element is included in summaries. 0..1 Period Relevant time frame for the claim
Claim.created This element is included in summaries. 1..1 dateTime Resource creation date
Claim.enterer 0..1 Reference(Practitioner | PractitionerRole) Author of the claim
Claim.insurer This element is included in summaries. 0..1 Reference(Organization) Target
Claim.provider This element is included in summaries. 1..1 Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Organization) Party responsible for the claim
Claim.priority This element is included in summaries. 1..1 CodeableConcept Desired processing ugency
Binding: ProcessPriorityCodes (example): The timeliness with which processing is required: stat, normal, deferred.
Claim.fundsReserve 0..1 CodeableConcept For whom to reserve funds
Binding: Funds Reservation Codes (example): For whom funds are to be reserved: (Patient, Provider, None).
Claim.related 0..* BackboneElement Prior or corollary claims
Claim.related.id 0..1 string Unique id for inter-element referencing
Claim.related.extension 0..* Extension Additional content defined by implementations
Claim.related.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.related.claim 0..1 Reference(Claim) Reference to the related claim
Claim.related.relationship 0..1 CodeableConcept How the reference claim is related
Binding: ExampleRelatedClaimRelationshipCodes (example): Relationship of this claim to a related Claim.
Claim.related.reference 0..1 Identifier File or case reference
Claim.prescription 0..1 Reference(DeviceRequest | MedicationRequest | VisionPrescription) Prescription authorizing services and products
Claim.originalPrescription 0..1 Reference(DeviceRequest | MedicationRequest | VisionPrescription) Original prescription if superseded by fulfiller
Claim.payee 0..1 BackboneElement Recipient of benefits payable
Claim.payee.id 0..1 string Unique id for inter-element referencing
Claim.payee.extension 0..* Extension Additional content defined by implementations
Claim.payee.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.payee.type 1..1 CodeableConcept Category of recipient
Binding: Claim Payee Type Codes (example): A code for the party to be reimbursed.
Claim.payee.party 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson) Recipient reference
Claim.referral 0..1 Reference(ServiceRequest) Treatment referral
Claim.facility 0..1 Reference(Location) Servicing facility
Claim.careTeam 0..* BackboneElement Members of the care team
Claim.careTeam.id 0..1 string Unique id for inter-element referencing
Claim.careTeam.extension 0..* Extension Additional content defined by implementations
Claim.careTeam.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.careTeam.sequence 1..1 positiveInt Order of care team
Claim.careTeam.provider 1..1 Reference(Practitioner | PractitionerRole | Organization) Practitioner or organization
Claim.careTeam.responsible 0..1 boolean Indicator of the lead practitioner
Claim.careTeam.role 0..1 CodeableConcept Function within the team
Binding: ClaimCareTeamRoleCodes (example): The role codes for the care team members.
Claim.careTeam.qualification 0..1 CodeableConcept Practitioner credential or specialization
Binding: ExampleProviderQualificationCodes (example): Provider professional qualifications.
Claim.Slices for supportingInfo 0..* BackboneElement Supporting information
Slice: Unordered, Open by value:category

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Claim.Slices for supportingInfo.supportingInfo:All Slices Content/Rules for all slices
Claim.Slices for supportingInfo.supportingInfo:All Slices.id 0..1 string Unique id for inter-element referencing
Claim.Slices for supportingInfo.supportingInfo:All Slices.extension 0..* Extension Additional content defined by implementations
Claim.Slices for supportingInfo.supportingInfo:All Slices.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:All Slices.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:All Slices.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Claim.Slices for supportingInfo.supportingInfo:All Slices.code 0..1 CodeableConcept Type of information
Binding: ExceptionCodes (example): The valuset used for additional information codes.
Claim.Slices for supportingInfo.supportingInfo:All Slices.timing[x] 0..1 When it occurred
Claim.Slices for supportingInfo.supportingInfo:All Slices.timing[x].timingDate date
Claim.Slices for supportingInfo.supportingInfo:All Slices.timing[x].timingPeriod Period
Claim.Slices for supportingInfo.supportingInfo:All Slices.value[x] 0..1 Data to be provided
Claim.Slices for supportingInfo.supportingInfo:All Slices.value[x].valueBoolean boolean
Claim.Slices for supportingInfo.supportingInfo:All Slices.value[x].valueString string
Claim.Slices for supportingInfo.supportingInfo:All Slices.value[x].valueQuantity Quantity
Claim.Slices for supportingInfo.supportingInfo:All Slices.value[x].valueAttachment Attachment
Claim.Slices for supportingInfo.supportingInfo:All Slices.value[x].valueReference Reference(Resource)
Claim.Slices for supportingInfo.supportingInfo:All Slices.reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Claim.Slices for supportingInfo.supportingInfo:treatmentReason 0..1 BackboneElement Supporting information
Claim.Slices for supportingInfo.supportingInfo:treatmentReason.id 0..1 string Unique id for inter-element referencing
Claim.Slices for supportingInfo.supportingInfo:treatmentReason.extension 0..* Extension Additional content defined by implementations
Claim.Slices for supportingInfo.supportingInfo:treatmentReason.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:treatmentReason.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:treatmentReason.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
      "code" : "patientreasonforvisit"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:treatmentReason.code 1..1 CodeableConcept Treatment reason
Binding: Treatment Reason (preferred)
Claim.Slices for supportingInfo.supportingInfo:treatmentReason.timing[x] 0..1 When it occurred
Claim.Slices for supportingInfo.supportingInfo:treatmentReason.timing[x].timingDate date
Claim.Slices for supportingInfo.supportingInfo:treatmentReason.timing[x].timingPeriod Period
Claim.Slices for supportingInfo.supportingInfo:treatmentReason.value[x] 0..1 Data to be provided
Claim.Slices for supportingInfo.supportingInfo:treatmentReason.value[x].valueBoolean boolean
Claim.Slices for supportingInfo.supportingInfo:treatmentReason.value[x].valueString string
Claim.Slices for supportingInfo.supportingInfo:treatmentReason.value[x].valueQuantity Quantity
Claim.Slices for supportingInfo.supportingInfo:treatmentReason.value[x].valueAttachment Attachment
Claim.Slices for supportingInfo.supportingInfo:treatmentReason.value[x].valueReference Reference(Resource)
Claim.Slices for supportingInfo.supportingInfo:treatmentReason.reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Claim.Slices for supportingInfo.supportingInfo:remark 0..1 BackboneElement Supporting information
Claim.Slices for supportingInfo.supportingInfo:remark.id 0..1 string Unique id for inter-element referencing
Claim.Slices for supportingInfo.supportingInfo:remark.extension 0..* Extension Additional content defined by implementations
Claim.Slices for supportingInfo.supportingInfo:remark.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:remark.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:remark.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
      "code" : "info"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:remark.code 0..1 CodeableConcept Type of information
Binding: ExceptionCodes (example): The valuset used for additional information codes.
Claim.Slices for supportingInfo.supportingInfo:remark.timing[x] 0..1 When it occurred
Claim.Slices for supportingInfo.supportingInfo:remark.timing[x].timingDate date
Claim.Slices for supportingInfo.supportingInfo:remark.timing[x].timingPeriod Period
Claim.Slices for supportingInfo.supportingInfo:remark.Slices for value[x] 1..1 string Data to be provided
Slice: Unordered, Closed by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Claim.Slices for supportingInfo.supportingInfo:remark.Slices for value[x] Content/Rules for all slices
Claim.Slices for supportingInfo.supportingInfo:remark.Slices for value[x].value[x]:valueString 1..1 string Remark
Claim.Slices for supportingInfo.supportingInfo:remark.reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Claim.diagnosis 0..* BackboneElement Pertinent diagnosis information
Claim.diagnosis.id 0..1 string Unique id for inter-element referencing
Claim.diagnosis.extension 0..* Extension Additional content defined by implementations
Claim.diagnosis.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.diagnosis.sequence 1..1 positiveInt Diagnosis instance identifier
Claim.diagnosis.diagnosis[x] 1..1 Nature of illness or problem
Binding: ICD-10Codes (example): Example ICD10 Diagnostic codes.
Claim.diagnosis.diagnosis[x].diagnosisCodeableConcept CodeableConcept
Claim.diagnosis.diagnosis[x].diagnosisReference Reference(Condition)
Claim.diagnosis.type 0..* CodeableConcept Timing or nature of the diagnosis
Binding: ExampleDiagnosisTypeCodes (example): The type of the diagnosis: admitting, principal, discharge.
Claim.diagnosis.onAdmission 0..1 CodeableConcept Present on admission
Binding: ExampleDiagnosisOnAdmissionCodes (example): Present on admission.
Claim.diagnosis.packageCode 0..1 CodeableConcept Package billing code
Binding: ExampleDiagnosisRelatedGroupCodes (example): The DRG codes associated with the diagnosis.
Claim.procedure 0..* BackboneElement Clinical procedures performed
Claim.procedure.id 0..1 string Unique id for inter-element referencing
Claim.procedure.extension 0..* Extension Additional content defined by implementations
Claim.procedure.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.procedure.sequence 1..1 positiveInt Procedure instance identifier
Claim.procedure.type 0..* CodeableConcept Category of Procedure
Binding: ExampleProcedureTypeCodes (example): Example procedure type codes.
Claim.procedure.date 0..1 dateTime When the procedure was performed
Claim.procedure.procedure[x] 1..1 Specific clinical procedure
Binding: ICD-10ProcedureCodes (example): Example ICD10 Procedure codes.
Claim.procedure.procedure[x].procedureCodeableConcept CodeableConcept
Claim.procedure.procedure[x].procedureReference Reference(Procedure)
Claim.procedure.udi 0..* Reference(Device) Unique device identifier
Claim.insurance This element is included in summaries. 1..* BackboneElement Patient insurance information
Claim.insurance.id 0..1 string Unique id for inter-element referencing
Claim.insurance.extension 0..* Extension Additional content defined by implementations
Claim.insurance.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.insurance.sequence This element is included in summaries. 1..1 positiveInt Insurance instance identifier
Claim.insurance.focal This element is included in summaries. 1..1 boolean Coverage to be used for adjudication
Claim.insurance.identifier 0..1 Identifier Pre-assigned Claim number
Claim.insurance.coverage This element is included in summaries. 1..1 Reference(CH Core Coverage) Insurance information
Claim.insurance.businessArrangement 0..1 string Additional provider contract number
Claim.insurance.preAuthRef 0..* string Prior authorization reference number
Claim.insurance.claimResponse 0..1 Reference(ClaimResponse) Adjudication results
Claim.accident 0..1 BackboneElement Details of the event
Claim.accident.id 0..1 string Unique id for inter-element referencing
Claim.accident.extension 0..* Extension Additional content defined by implementations
Claim.accident.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.accident.date 1..1 date When the incident occurred
Claim.accident.type 0..1 CodeableConcept The nature of the accident
Binding: ActIncidentCode (extensible): Type of accident: work place, auto, etc.
Claim.accident.location[x] 0..1 Where the event occurred
Claim.accident.location[x].locationAddress Address
Claim.accident.location[x].locationReference Reference(Location)
Claim.item 0..* BackboneElement Product or service provided
Claim.item.id 0..1 string Unique id for inter-element referencing
Claim.item.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Claim.item.Slices for extension.extension:responsible 0..1 Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Organization) Responsible for the service or product provided
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-responsible
Claim.item.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.item.sequence 1..1 positiveInt Item instance identifier
Claim.item.careTeamSequence 0..* positiveInt Applicable careTeam members
Claim.item.diagnosisSequence 0..* positiveInt Applicable diagnoses
Claim.item.procedureSequence 0..* positiveInt Applicable procedures
Claim.item.informationSequence 0..* positiveInt Applicable exception and supporting information
Claim.item.revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
Claim.item.category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
Claim.item.category.id 0..1 string Unique id for inter-element referencing
Claim.item.category.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Claim.item.category.Slices for coding This element is included in summaries. 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Claim.item.category.Slices for coding.coding:tariff This element is included in summaries. 0..1 Coding Tariff
Claim.item.category.Slices for coding.coding:tariff.id 0..1 string Unique id for inter-element referencing
Claim.item.category.Slices for coding.coding:tariff.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Claim.item.category.Slices for coding.coding:tariff.system This element is included in summaries. 1..1 uri Identity of the terminology system
Required Pattern: http://forum-datenaustausch.ch/tariff (extensions allowed)
Claim.item.category.Slices for coding.coding:tariff.version This element is included in summaries. 0..1 string Version of the system - if relevant
Claim.item.category.Slices for coding.coding:tariff.code This element is included in summaries. 0..1 code Symbol in syntax defined by the system
Claim.item.category.Slices for coding.coding:tariff.display This element is included in summaries. 0..1 string Representation defined by the system
Claim.item.category.Slices for coding.coding:tariff.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
Claim.item.category.text This element is included in summaries. 0..1 string Plain text representation of the concept
Claim.item.productOrService 1..1 CodeableConcept Tariff number
Binding: USCLSCodes (example): Allowable service and product codes.
Claim.item.productOrService.id 0..1 string Unique id for inter-element referencing
Claim.item.productOrService.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Claim.item.productOrService.Slices for coding This element is included in summaries. 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Claim.item.productOrService.Slices for coding.coding:All Slices Content/Rules for all slices
Claim.item.productOrService.Slices for coding.coding:All Slices.id 0..1 string Unique id for inter-element referencing
Claim.item.productOrService.Slices for coding.coding:All Slices.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Claim.item.productOrService.Slices for coding.coding:All Slices.system This element is included in summaries. 0..1 uri Identity of the terminology system
Claim.item.productOrService.Slices for coding.coding:All Slices.version This element is included in summaries. 0..1 string Version of the system - if relevant
Claim.item.productOrService.Slices for coding.coding:All Slices.code This element is included in summaries. 0..1 code Symbol in syntax defined by the system
Claim.item.productOrService.Slices for coding.coding:All Slices.display This element is included in summaries. 0..1 string Representation defined by the system
Claim.item.productOrService.Slices for coding.coding:All Slices.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
Claim.item.productOrService.Slices for coding.coding:GTIN This element is included in summaries. 0..1 Coding Code defined by a terminology system
Claim.item.productOrService.Slices for coding.coding:GTIN.id 0..1 string Unique id for inter-element referencing
Claim.item.productOrService.Slices for coding.coding:GTIN.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Claim.item.productOrService.Slices for coding.coding:GTIN.system This element is included in summaries. 1..1 uri Identity of the terminology system
Required Pattern: urn:oid:2.51.1.1 (extensions allowed)
Claim.item.productOrService.Slices for coding.coding:GTIN.version This element is included in summaries. 0..1 string Version of the system - if relevant
Claim.item.productOrService.Slices for coding.coding:GTIN.code This element is included in summaries. 0..1 code Symbol in syntax defined by the system
Claim.item.productOrService.Slices for coding.coding:GTIN.display This element is included in summaries. 0..1 string Representation defined by the system
Claim.item.productOrService.Slices for coding.coding:GTIN.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
Claim.item.productOrService.Slices for coding.coding:TARMED This element is included in summaries. 0..1 Coding Code defined by a terminology system
Claim.item.productOrService.Slices for coding.coding:TARMED.id 0..1 string Unique id for inter-element referencing
Claim.item.productOrService.Slices for coding.coding:TARMED.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Claim.item.productOrService.Slices for coding.coding:TARMED.system This element is included in summaries. 1..1 uri Identity of the terminology system
Required Pattern: urn:oid:2.16.756.5.30.1.129.1.4 (extensions allowed)
Claim.item.productOrService.Slices for coding.coding:TARMED.version This element is included in summaries. 0..1 string Version of the system - if relevant
Claim.item.productOrService.Slices for coding.coding:TARMED.code This element is included in summaries. 0..1 code Symbol in syntax defined by the system
Claim.item.productOrService.Slices for coding.coding:TARMED.display This element is included in summaries. 0..1 string Representation defined by the system
Claim.item.productOrService.Slices for coding.coding:TARMED.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
Claim.item.productOrService.text This element is included in summaries. 0..1 string Plain text representation of the concept
Claim.item.modifier 0..* CodeableConcept Product or service billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
Claim.item.programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
Claim.item.serviced[x] 0..1 Date or dates of service or product delivery
Claim.item.serviced[x].servicedDate date
Claim.item.serviced[x].servicedPeriod Period
Claim.item.location[x] 0..1 Place of service or where product was supplied
Binding: ExampleServicePlaceCodes (example): Place of service: pharmacy, school, prison, etc.
Claim.item.location[x].locationCodeableConcept CodeableConcept
Claim.item.location[x].locationAddress Address
Claim.item.location[x].locationReference Reference(Location)
Claim.item.quantity C 0..1 SimpleQuantity(4.0.1) Count of products or services
Constraints: sqty-1
Claim.item.quantity.id 0..1 string Unique id for inter-element referencing
Claim.item.quantity.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Claim.item.quantity.value This element is included in summaries. 0..1 decimal Numerical value (with implicit precision)
Claim.item.quantity.unit This element is included in summaries. 0..1 string Unit representation
Claim.item.quantity.system This element is included in summaries. C 0..1 uri System that defines coded unit form
Claim.item.quantity.code This element is included in summaries. 0..1 code Coded form of the unit
Claim.item.unitPrice 0..1 Money Fee, charge or cost per item
Claim.item.factor 0..1 decimal Price scaling factor
Claim.item.net 0..1 Money Total item cost
Claim.item.udi 0..* Reference(Device) Unique device identifier
Claim.item.bodySite 0..1 CodeableConcept Anatomical location
Binding: OralSiteCodes (example): The code for the teeth, quadrant, sextant and arch.
Claim.item.subSite 0..* CodeableConcept Anatomical sub-location
Binding: SurfaceCodes (example): The code for the tooth surface and surface combinations.
Claim.item.encounter 0..* Reference(Encounter) Encounters related to this billed item
Claim.item.detail 0..* BackboneElement Product or service provided
Claim.item.detail.id 0..1 string Unique id for inter-element referencing
Claim.item.detail.extension 0..* Extension Additional content defined by implementations
Claim.item.detail.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.item.detail.sequence 1..1 positiveInt Item instance identifier
Claim.item.detail.revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
Claim.item.detail.category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
Claim.item.detail.productOrService 1..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
Claim.item.detail.modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
Claim.item.detail.programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
Claim.item.detail.quantity C 0..1 SimpleQuantity(4.0.1) Count of products or services
Constraints: sqty-1
Claim.item.detail.unitPrice 0..1 Money Fee, charge or cost per item
Claim.item.detail.factor 0..1 decimal Price scaling factor
Claim.item.detail.net 0..1 Money Total item cost
Claim.item.detail.udi 0..* Reference(Device) Unique device identifier
Claim.item.detail.subDetail 0..* BackboneElement Product or service provided
Claim.item.detail.subDetail.id 0..1 string Unique id for inter-element referencing
Claim.item.detail.subDetail.extension 0..* Extension Additional content defined by implementations
Claim.item.detail.subDetail.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.item.detail.subDetail.sequence 1..1 positiveInt Item instance identifier
Claim.item.detail.subDetail.revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
Claim.item.detail.subDetail.category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
Claim.item.detail.subDetail.productOrService 1..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
Claim.item.detail.subDetail.modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
Claim.item.detail.subDetail.programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
Claim.item.detail.subDetail.quantity C 0..1 SimpleQuantity(4.0.1) Count of products or services
Constraints: sqty-1
Claim.item.detail.subDetail.unitPrice 0..1 Money Fee, charge or cost per item
Claim.item.detail.subDetail.factor 0..1 decimal Price scaling factor
Claim.item.detail.subDetail.net 0..1 Money Total item cost
Claim.item.detail.subDetail.udi 0..* Reference(Device) Unique device identifier
Claim.total 0..1 Money Total claim cost

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Claim.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Claim.status Base required Financial Resource Status Codes 📍4.0.1 FHIR Std.
Claim.type Base extensible BFS Medizinische Statistik - 20 1.3.V01 - Behandlungsart / Type de prise en charge / Genere di trattamento 📦3.4.0 CH Term v3.4
Claim.subType Base example Example Claim SubType Codes 📍4.0.1 FHIR Std.
Claim.use Base required Use 📍4.0.1 FHIR Std.
Claim.priority Base example Process Priority Codes 📍4.0.1 FHIR Std.
Claim.fundsReserve Base example FundsReserve 📍4.0.1 FHIR Std.
Claim.related.relationship Base example Example Related Claim Relationship Codes 📍4.0.1 FHIR Std.
Claim.payee.type Base example PayeeType 📍4.0.1 FHIR Std.
Claim.careTeam.role Base example Claim Care Team Role Codes 📍4.0.1 FHIR Std.
Claim.careTeam.qualification Base example Example Provider Qualification Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo.​code Base example Exception Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo.​reason Base example Missing Tooth Reason Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:treatmentReason.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:treatmentReason.​code Base preferred Treatment Reason 📦3.4.0 CH Term v3.4
Claim.supportingInfo:treatmentReason.​reason Base example Missing Tooth Reason Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:remark.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:remark.​code Base example Exception Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:remark.​reason Base example Missing Tooth Reason Codes 📍4.0.1 FHIR Std.
Claim.diagnosis.diagnosis[x] Base example ICD-10 Codes 📍4.0.1 FHIR Std.
Claim.diagnosis.type Base example Example Diagnosis Type Codes 📍4.0.1 FHIR Std.
Claim.diagnosis.onAdmission Base example Example Diagnosis on Admission Codes 📍4.0.1 FHIR Std.
Claim.diagnosis.packageCode Base example Example Diagnosis Related Group Codes 📍4.0.1 FHIR Std.
Claim.procedure.type Base example Example Procedure Type Codes 📍4.0.1 FHIR Std.
Claim.procedure.procedure[x] Base example ICD-10 Procedure Codes 📍4.0.1 FHIR Std.
Claim.accident.type Base extensible ActIncidentCode 📦3.0.0 THO v7.4
Claim.item.revenue Base example Example Revenue Center Codes 📍4.0.1 FHIR Std.
Claim.item.category Base example Benefit Category Codes 📍4.0.1 FHIR Std.
Claim.item.productOrService Base example USCLS Codes 📍4.0.1 FHIR Std.
Claim.item.modifier Base example Modifier type Codes 📍4.0.1 FHIR Std.
Claim.item.programCode Base example Example Program Reason Codes 📍4.0.1 FHIR Std.
Claim.item.location[x] Base example Example Service Place Codes 📍4.0.1 FHIR Std.
Claim.item.bodySite Base example Oral Site Codes 📍4.0.1 FHIR Std.
Claim.item.subSite Base example Surface Codes 📍4.0.1 FHIR Std.
Claim.item.detail.revenue Base example Example Revenue Center Codes 📍4.0.1 FHIR Std.
Claim.item.detail.category Base example Benefit Category Codes 📍4.0.1 FHIR Std.
Claim.item.detail.productOrService Base example USCLS Codes 📍4.0.1 FHIR Std.
Claim.item.detail.modifier Base example Modifier type Codes 📍4.0.1 FHIR Std.
Claim.item.detail.programCode Base example Example Program Reason Codes 📍4.0.1 FHIR Std.
Claim.item.detail.subDetail.​revenue Base example Example Revenue Center Codes 📍4.0.1 FHIR Std.
Claim.item.detail.subDetail.​category Base example Benefit Category Codes 📍4.0.1 FHIR Std.
Claim.item.detail.subDetail.​productOrService Base example USCLS Codes 📍4.0.1 FHIR Std.
Claim.item.detail.subDetail.​modifier Base example Modifier type Codes 📍4.0.1 FHIR Std.
Claim.item.detail.subDetail.​programCode Base example Example Program Reason Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Claim If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Claim If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Claim If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Claim If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Claim A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
sqty-1 error Claim.item.quantity, Claim.item.detail.quantity, Claim.item.detail.subDetail.quantity The comparator is not used on a SimpleQuantity comparator.empty()

This structure is derived from Claim

Summary

Mandatory: 0 element(6 nested mandatory elements)

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Claim.supportingInfo
  • The element 1 is sliced based on the value of Claim.supportingInfo.value[x]
  • The element 1 is sliced based on the value of Claim.item.category.coding
  • The element 1 is sliced based on the value of Claim.item.productOrService.coding

 

Other representations of profile: CSV, Excel, Schematron